Individual
DR. OMAR SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 5TH ST, SADDLE BROOK, SADDLE BROOK, NJ 07663-6216
(973) 478-1616
(973) 478-1732
Mailing address
468 FOREST AVE, PARAMUS, NJ 07652
(973) 715-0214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0531371
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02813147
—
NJ
Enumeration date
11/20/2006
Last updated
03/24/2015
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